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Homebound Delivery Service Application

  1. Application for Homebound Delivery Service

    The Trumbull Library Homebound Service provides a free delivery of library materials to Trumbull residents who are unable to travel to the library.

  2. Please give the name of a person to contact if you cannot be reached for an extended period.

  3. Reading Preferences*

    Check all that apply

  4. Indicate the primary reason you will need this service:

  5. Do you object to sexual content, violence or foul language in your library materials?*

  6. Agreement:*

    By selecting "yes" in the field below, I understand that the Homebound Service is offered only to the truly homebound. I hereby apply for this service and agree to be responsible for damage or loss of library materials checked-out to this library card.

  7. Leave This Blank:

  8. This field is not part of the form submission.